Excellence Billing serves two types of agencies: hospice providers and home health providers. Each faces different billing rules, and Excellence Billing tailors its billing, credentialing, and consulting services to the specific requirements of each.
Hospice and home health billing don’t run on the same rules. Excellence Billing works with both, applying the specific requirements each one carries rather than a one-size-fits-all billing approach.
Hospice billing involves cap reporting, room and board reimbursement, and recertification timing. Home health billing runs on a completely different structure: episode-based payment periods and OASIS documentation. A billing provider that treats these as the same service, or applies a generalized process to both, ends up producing the exact errors that lead to denials and compliance exposure.
Agencies feel this most as delayed reimbursement, recurring denials, or a compliance gap that only surfaces once it’s already a problem.
Excellence Billing works with both hospice and home health agencies, and applies the correct rule set to each rather than a single generalized billing process. Hospice claims are handled with cap reporting and room and board coordination built in from the start. Home health claims are handled around payment period timing and OASIS documentation.
The distinction isn’t a formality. It’s the difference between claims that move through cleanly and claims that come back denied.
Hospice agencies operate under Medicare rules built around cap reporting, room and board reimbursement, and hospice-specific recertification requirements. Excellence Billing manages hospice billing, credentialing, and compliance support built around these exact requirements.
See How We Support Hospice Providers →Home health agencies bill under a different structure entirely, built around 30-day payment periods, OASIS assessment timing, and certification requirements. Excellence Billing manages home health billing and revenue cycle support around these specific rules.
See How We Support Home Health Providers →Regardless of whether an agency is hospice, home health, or both, Excellence Billing provides the same underlying commitment: accurate claims, proactive compliance, and a team that already understands the payer rules involved rather than learning them case by case.
claims management built around each service line’s specific requirements
Excellence Billing doesn’t apply one standard billing process across every client. Support is structured around which type of agency is being served, and adjusted further based on the agency’s size, growth stage, and current billing setup.
Excellence Billing reviews whether an agency is hospice, home health, or both, along with its current billing practices, claims history, and compliance standing.
Based on that assessment, services are aligned to the agency’s specific service line, whether that means cap reporting and room and board coordination for hospice, or OASIS timing and payment period management for home health.
As Medicare and Medicaid rules change, or as an agency grows or adds a second service line, the approach is adjusted rather than left static.
This means a hospice-only agency, a home health-only agency, and an agency running both programs each receive a genuinely different scope of support, not the same service description applied twice.
Some organizations run hospice and home health programs side by side, each with its own billing rules operating under one roof. Excellence Billing supports both service lines together, keeping hospice and home health billing distinct and compliant rather than applying a blended process across two programs that don’t share the same requirements.
Does Excellence Billing work with agencies that provide both hospice and home health care?
Yes. Excellence Billing supports organizations operating both service lines, applying the correct billing rules to each program rather than a single blended process.
How does Excellence Billing decide which services an agency needs?
Support begins with an assessment of the agency’s service line, current billing practices, and compliance standing. From there, services such as billing management, credentialing, or consulting are aligned to what the agency actually needs.
Is there a difference in how hospice and home health billing are handled?
Yes. Hospice billing involves cap reporting, room and board reimbursement, and recertification timing. Home health billing is built around 30-day payment periods and OASIS documentation. Excellence Billing applies the correct rule set to each rather than treating them as interchangeable.
Does Excellence Billing work with new agencies as well as established ones?
Yes. New agencies typically start with Agency Startup Support, while established agencies may engage billing management, a billing audit, or ongoing consulting depending on their current needs.
Whether your agency provides hospice care, home health care, or both, the right billing approach starts with understanding the specific rules that apply to your services. A consultation gives you a clear, no-obligation look at where your current billing stands and which services would actually move the needle, rather than a generic sales pitch.
Prefer to talk it through first? Call Excellence Billing directly at (210) 729-9551, or schedule a consultation below and we’ll follow up to find a time that works.
Excellence Billing provides medical billing, credentialing, start-up support, auditing, and consulting exclusively for hospice and home health agencies. The company serves clients nationwide, with concentrated expertise in Palmetto GBA Jurisdiction M. Excellence Billing does not provide direct patient care.
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